Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HB=MNT RE-ASSESSMENT INDIV EA 15 MIN
Low
$17
Average
$79
Median
$46
High
$535
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
84 hospitals; the 90th percentile is 5.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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133 hospital rates
iThe hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $92 | $92 | — | — | 86 | $92 – $92 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $131 | $100 | $53 | 53% | 32 | $25 – $145 |
| 3 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $129 | $129 | $6 | 5% | 20–92 | $123 – $135 |
| 4 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $39 | $39 | — | — | 14 | $39 – $39 |
| 5 | Avera Heart Hospital Sioux Falls, SD case rate · outpatient | 2 | $95 | $95 | — | — | 2–20 | $95 – $95 |
| 6 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $53 | $53 | — | — | 2–20 | $53 – $53 |
| 7 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $135 | $135 | — | — | 2–20 | $135 – $135 |
| 8 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $37 | $37 | $21 | 56% | 2–20 | $16 – $58 |
| 9 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $90 | $90 | — | — | 2–20 | $90 – $90 |
| 10 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $149 | $149 | — | — | 1–10 | $149 – $149 |
| 11 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $149 | $149 | — | — | 1–10 | $149 – $149 |
| 12 | Community Memorial Hospital Redfield, SD outpatient | 1 | $149 | $149 | — | — | 1–10 | $149 – $149 |
| 13 | Community Memorial Hospital Redfield, SD percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | 1–10 | $39 – $39 |
| 14 | Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges | 2 | $48 | $48 | $19 | 40% | 1–10 | $29 – $67 |
| 15 | Wagner Community Memorial Wagner, SD outpatient | 1 | $84 | $84 | — | — | 1–10 | $84 – $84 |
| 16 | Wagner Community Memorial Wagner, SD percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 17 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 18 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $21 | $21 | — | — | — | $21 – $21 |
| 19 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 20 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $41 | $39 | $8 | 21% | — | $26 – $48 |
| 21 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 22 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 23 | Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 24 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 25 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 2 | $25 | $25 | — | — | — | $25 – $25 |
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